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NPI Code Detail

MEDICARE: DANIELLE MARIE MILBRANDT PHARMD

MEDICARE: DANIELLE MARIE MILBRANDT PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5751SD
2183500000XPharmacist21635IA

General Provider Information

NPI Number : 1063722445
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE MARIE MILBRANDT PHARMD
Provider Business Mailing Address
First Line : 120 S STORY ST
Second Line :
City : BOONE
State : IA
Zip : 50036-4739
Country : US
Telephone Number : 515-432-3460
Fax Number : 515-432-7169
Provider Business Practice Location Address
First Line : 120 S STORY ST
Second Line :
City : BOONE
State : IA
Zip : 50036-4739
Country : US
Telephone Number : 515-432-3460
Fax Number : 515-432-7169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2010
Last Update Date : 06/15/2012

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